Provider Demographics
NPI:1023796562
Name:ALLEN, ZAHRAA (RDH)
Entity type:Individual
Prefix:
First Name:ZAHRAA
Middle Name:
Last Name:ALLEN
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22473 WEST RD APT 104
Mailing Address - Street 2:
Mailing Address - City:WOODHAVEN
Mailing Address - State:MI
Mailing Address - Zip Code:48183-3165
Mailing Address - Country:US
Mailing Address - Phone:248-497-9429
Mailing Address - Fax:
Practice Address - Street 1:22473 WEST RD APT 104
Practice Address - Street 2:
Practice Address - City:WOODHAVEN
Practice Address - State:MI
Practice Address - Zip Code:48183-3165
Practice Address - Country:US
Practice Address - Phone:248-497-9429
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-06
Last Update Date:2023-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2902018679124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist